Authors Fowler, B. Published 21st December 2022 Audience Consumers, Government/NGOs/Peaks, Industry ISBN 978-0-7334-4070-0
Background: This investigation critically appraises selected measures from a previous systematic review and links these with occupational therapy in the home.
Objectives: To identify, describe and determine the quality of selected evaluation and outcome measures applicable to occupational therapy in the home for children and young people with predominantly physical disabilities, and to provide qualified guidance for occupational therapists in selecting high-quality measures for best practice.
Search Methods: Searches for each named measure were conducted in PubMed, COSMIN Database of Systematic Reviews of Outcome Measurement Instruments, Google Scholar, measure-specific webpages, and other on-line sources.
Data Collection and Analysis: Data collection for selected measures used a modified Law and MacDermid’s ‘Appraisal for Clinical Measurement Research Reports Evaluation’ approach. This method includes critically appraisal of both psychometric and clinimetric properties, particularly usability and responsiveness to change, to determine the quality of the evidence. The ‘Quality Appraisal for Clinical Measurement Research Reports Evaluation’ was used to grade the design of single studies including excellent, adequate and unsuitable and ‘A Measurement Tool to Assess Systematic Reviews’ for systematic reviews.
Results: Twenty-two eligible primary evaluation and outcome measures were selected and appraised for quality in the areas of - Activities for self-care and functional mobility; Participation - household tasks, and physical environment; Occupational Performance; Neuromuscular and Movement-related Functions, and Disability and Development.
Measures with an excellent rating of quality and usability were the Child and Adolescent Scale of Participation; Canadian Occupational Performance Measure; Goal Attainment Scaling; Paediatric Evaluation of Disability Inventory-Computer Adaptive Test; Participation and Environment Measure for Children and Youth.
Measures with an adequate rating were the Assisting Hand Assessment - Kids; Assisting Hand Assessment - Mini; Activities Scale for Kids ©; Children's Assessment of Participation and Enjoyment; Child and Adolescent Factors Inventory; Child and Adolescent Scale of Environment; ; Children Helping Out: Responsibilities, Expectations, and Supports; European Child Environment Questionnaire; School, Home and Neighbourhood Accessibility: Physically Disabled Children’s Assessments; Young Children's Participation and Environment Measure.
Measures with an unsuitable rating were the Box and Blocks Test, BruininksâOseretsky Test of Motor Proficiency; Bayley Scales of Infant and Toddler Development; Infant Motor Profile; Peabody Developmental Motor Scales; Quality of Upper Extremity Skills Test.
Author’s Conclusions: The most useful measures are those that combine the evaluation of the client’s occupational performance within the home environment and focus on the Occupational Therapy Practice Framework. The usability of measures needs to be considered in addition to validity, particularly responsiveness and reliability.
1. Background
2. Objectives
3. Methods
4. Outcomes and Search
5. Findings
6. Discussion and Conclusion
7. References
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